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NURS FPX 5007 Assessment 3 Intervention Strategy

Student Name Capella University NURS-FPX 5007 Leadership for Nursing Practice Prof. Name Date Intervention Strategy Leadership holds a critical role in directing group activities towards common objectives, particularly in the dynamic healthcare environment. Tailoring various leadership philosophies is essential for fostering effective leadership in healthcare settings. Developing procedures that encourage employee collaboration towards shared goals is imperative. Effective leadership styles and change management are vital for ensuring the success and sustainability of healthcare organizations. Fundamentally, leadership involves overseeing individuals or groups to achieve common goals. In healthcare, this often entails supervising medical professionals to ensure high-quality patient care. A key aspect of effective healthcare leadership involves establishing processes and structures that promote teamwork and collaboration among employees, achieved through clear communication channels, shared objectives, and a culture emphasizing teamwork and collaboration (Bass, 2019). Analyzing Case Study The case study titled “Sleeping on the Job: A Managerial Challenge” focuses on a nurse named Marty, who has faced personal challenges during her tenure in an office environment. Her responsibilities at home, including caring for aging parents, have led to a lack of personal time after work. Colleagues have expressed dissatisfaction with Marty’s work performance, citing instances of lateness, early departures, and falling asleep on the job. Additionally, she has missed work due to personal matters. Unfortunately, her manager has not provided any assistance or sought solutions. To support Marty, her manager should evaluate measures to assist her and the entire staff. One approach could involve implementing transformational leadership, characterized by open communication with Marty. Through dialogue, the manager and Marty can identify barriers to her success and collaboratively devise an improvement plan. The manager can encourage Marty to share ideas on overcoming challenges and explore her career aspirations. Consistent communication and collaboration among all parties are essential for this approach (Alrowwad et al., 2020). Leadership Strategy Various leadership models can enhance leadership in healthcare. Some managers may opt for the transformational leadership model, empowering staff to work collectively towards common goals. Others may prefer a transactional leadership style, focusing on explicit goals and incentives for their attainment (Kelly & Hearld, 2020). In healthcare settings, transformational leadership can be highly effective as it emphasizes teamwork, collaboration, and communication. It empowers individuals to take ownership of their work, fostering a shared sense of responsibility towards common objectives. By creating a positive work environment, transformational leaders establish trust and respect, enhancing employee engagement and job satisfaction, crucial in high-stress healthcare settings (Espinoza et al., 2018). Applying Leadership Strategy Addressing Marty’s situation involves tackling her subpar work performance and its impact on the nursing team. The most effective approach is transformational leadership, which motivates employees to realize their fullest potential. Marty’s personal circumstances affecting her performance can be addressed through motivation and inspiration. Once a plan is established to address Marty’s performance, focus can shift to rebuilding trust among team members. Transformational leadership encourages employees to take ownership of their responsibilities, fostering open communication and effective collaboration. Organizational Change Model and its Influence The ADKAR model serves as a valuable framework for implementing change. Its stages—awareness, desire, knowledge, ability, and reinforcement—guide individuals through transformation. In Marty’s case, initial steps involve discussing her past actions and the need for change. Cultivating a desire for change aligns with organizational objectives. Re-educating Marty about her role and providing ongoing support facilitate the transition. Positive reinforcement prevents reverting to previous behaviors. The Implication of Care Policy and Legislation Nurses influence public health policy due to their patient interactions and community knowledge. The American Nurses Association (ANA) advocates for policies promoting nurses’ well-being. The “Healthy Nurse. Healthy Nation” program emphasizes health and safety policy, providing resources for nurses to improve their well-being. This initiative can positively impact Marty, addressing her health challenges and improving her job performance. Advocating for nurses’ health enhances healthcare quality. Conclusion Effective leadership is indispensable in healthcare, ensuring organizational success and employee satisfaction. Transformational leaders motivate employees and manage change effectively, essential for patient outcomes. Strong leadership enhances patient care and organizational performance. References Alrowwad, A. A., Abualoush, S. H., & Masa’deh, R. E. (2020). Innovation and intellectual capital as intermediary variables among transformational leadership, transactional leadership, and organizational performance. Journal of Management Development, 39(2), 196-222. Akdere, M., & Egan, T. (2020). Transformational leadership and human resource development: Linking employee learning, job satisfaction, and organizational performance. Human Resource Development Quarterly, 31(4), 393-421. Bass, B. L. (2019). What is leadership?. Leadership in Surgery, 1-10. Collins, E., Owen, P., Digan, J., & Dunn, F. (2020). Applying transformational leadership in nursing practice. Nurs Stand, 35(5), 59-66. Cronshaw, A., Boddye, E., Reilly, L., Boardman, R., Portas, L., Hagen, J., & Marufu, T. C. (2021). Engaging the nursing workforce to achieve a culture of excellence: Nottingham Children’s Hospital ANCC Pathway to Excellence® Journey. NURS FPX 5007 Assessment 3 Intervention Strategy Espinoza, P., Peduzzi, M., Agreli, H. F., & Sutherland, M. A. (2018). Interprofessional team member’s satisfaction: a mixed methods study of a Chilean hospital. Human Resources for Health, 16(1), 1-12. Kelly, R. J., & Hearld, L. R. (2020). Burnout and leadership style in behavioral health care: A literature review. The Journal of Behavioral Health Services & Research, 47(4), 581-600. Nolan, S., Carpenter, H., Cole, L., & Fitzpatrick, J. (2020). The HealthyNurse [R] Leader: How do the health behaviors of nurse leaders measure up?. American Nurse Journal, 15(1), 30-32. Wong, Q., Lacombe, M., Keller, R., Joyce, T., & O’Malley, K. (2019). Leading change with ADKAR. Nursing management, 50(4), 28-35. NURS FPX 5007 Assessment 3 Intervention Strategy

NURS FPX 5007 Assessment 2 Managing the Toxic Leader

Student Name Capella University NURS-FPX 5007 Leadership for Nursing Practice Prof. Name Date Managing Toxic Leadership: An APA-Formatted Rewrite Effective Leadership in Healthcare Settings Effective leadership is crucial for the success of any organization, particularly in healthcare settings such as hospitals. Competent leaders empower their teams, enhance productivity, and achieve organizational goals through strategic planning, collaboration, and effective communication (Monroe, 2019). In healthcare, leadership significantly influences workplace culture, directly impacting the quality of patient care delivery. It is imperative for leaders to foster a supportive atmosphere for healthcare workers, enabling them to meet benchmarks and enhance standards of nursing practice and care delivery (Monroe, 2019). Case Study – Head Nurse Performance Evaluation In a case study examining the performance of a head nurse in a psychiatry unit, several concerning behaviors were identified. The head nurse, Jackie, exhibited a leadership style that contradicted established guidelines. Despite her role in leading patient care conferences, Jackie frequently missed these sessions, hindering collaboration and effective patient-centered care (Monroe, 2019). Moreover, her unprofessional conduct, including failure to communicate schedule changes and inappropriate attire, negatively impacted team morale and productivity. Jackie’s behavior also violated professional standards outlined by the American Nurses Association (ANA), particularly regarding relationships with co-workers and patient responsibility (Monroe, 2019). Organizational Mission, Vision, and Goals Jackie’s actions conflicted with the healthcare facility’s mission of providing exceptional patient care and improving community well-being. Her inability to collaborate with her team and prioritize patient care undermined the organization’s goals of enhancing healthcare performance and patient experiences (Huang et al., 2021). Furthermore, Jackie’s behavior did not align with the organization’s core values, compromising its ability to achieve its mission and objectives. Action Plan to Improve Leadership Performance To address Jackie’s deficiencies in leadership and professionalism, a Performance Improvement Plan (PIP) will be implemented. During this process, an Acting Nurse Manager will temporarily assume leadership responsibilities, leading conferences and addressing team concerns. Specific expectations for Jackie include punctuality, timely communication, adherence to dress code guidelines, and ethical conduct in the workplace (Monroe, 2019). The implementation of evidence-based collaboration techniques, such as the TeamSTEPPS framework, will further support improved performance and patient outcomes (Cooke & Valentine, 2021). At the conclusion of the PIP period, Jackie’s performance will be evaluated to determine her suitability to resume her role as nurse manager. Additionally, the performance of the Acting Nurse Manager will be assessed to identify potential candidates for future leadership positions (Oberle, 2022). References Aghamohammadi, F., Imani, B., & Koosha, M. M. (2021). Operating room nurses’ lived experiences of ethical codes: a phenomenological study in Iran. International Journal of Nursing Sciences, 8(3), 332-338. https://doi.org/10.21203/rs.3.rs-121826/v1 Cooke, M., & Valentine, N. M. (2021). Improving teamwork and communication in schools of nursing: a quality improvement approach using TeamSTEPPS. Journal of Nursing Care Quality, 36(3), 285-290. https://doi.org/10.1097/ncq.0000000000000513 Huang, N., Qiu, S., Yang, S., & Deng, R. (2021). Ethical leadership and organizational citizenship behavior: mediation of trust and psychological well-being. Psychology Research and Behavior Management, 655-664. https://doi.org/10.2147/prbm.s311856 Miles, J. M., & Scott, E. S. (2019). A new leadership development model for nursing education. Journal of Professional Nursing, 35(1), 5-11. https://doi.org/10.1016/j.profnurs.2018.09.009 NURS FPX 5007 Assessment 2 Managing the Toxic Leader Monroe, H. A. (2019). Nurses’ professional values: influences of experience and ethics education. Journal of Clinical Nursing, 28(9-10), 2009-2019. https://doi.org/10.1111/jocn.14806 Olson, L. (2021). Envisioning an ethical climate in nursing education programs. Online Journal of Issues in Nursing, 26(1), 1-10. https://doi.org/10.3912/ojin.vol26no01man07 Warshawsky, N., & Cramer, E. (2019). Describing nurse manager role preparation and competency: findings from a national study. JONA: The Journal of Nursing Administration, 49(5), 249-255. https://doi.org/10.1097/nna.0000000000000746 NURS FPX 5007 Assessment 2 Managing the Toxic Leader

NURS FPX 5007 Assessment 1 Leadership Styles Application

Student Name Capella University NURS-FPX 5007 Leadership for Nursing Practice Prof. Name Date Leadership Styles Application The role of leadership can be challenging and contingent upon various circumstances. Within the healthcare industry, leaders play a pivotal role in enhancing the quality of care, thereby influencing patient outcomes. Effective leaders are essential for managing institutional workflows, maintaining employee satisfaction, facilitating information sharing, and achieving improved clinical outcomes. Additionally, they contribute to fostering positive and robust organizational cultures. In leadership positions, there is often a need to guide and refocus personnel to ensure a productive and secure workplace environment. The healthcare sector recognizes several leadership styles, and the ability to make informed decisions and plan for potential challenges is paramount (Cummings et al., 2021). Case Study To illustrate a challenging workplace scenario, we can examine the case of Marty, an African American healthcare worker with over six years of experience caring for rehabilitation patients at a university healthcare facility. She provides care to patients admitted to hospitals across the town, working independently. Additionally, Marty has been employed for over two years in an office setting, typically during weekdays. Marty’s mother was diagnosed with dementia three years ago, and she has since become responsible for her mother’s daily care needs. This entails assisting her mother during her off-time and days off, which has resulted in work-related challenges. Marty’s work performance has been adversely affected by her caregiving responsibilities. She has been consistently arriving late to the office for a year and leaving early to care for her mother. Consequently, her colleagues have grown frustrated with her work patterns. In response to their concerns, Marty disclosed that she had been diagnosed with a sleeping disorder called “apnea” but refused to use a CPAP machine. Nursing professionals have accused Marty of neglecting her duties and using her mother’s illness as an excuse to leave work early. She has also taken extended leaves for various reasons, including mourning her sibling’s loss for three weeks and experiencing chronic back problems for twelve weeks. Colleagues and clinical staff members have reported Marty’s behavior to her supervisor, suggesting the hiring of additional nurses due to her inability to fulfill her responsibilities. However, Marty is currently on Family and Medical Leave Act (FMLA), and her supervisor is aware of these issues and the stress they are causing in the healthcare facility but has not taken any action (Cummings et al., 2021). Relevant Leadership Styles and Practices Three key leadership styles relevant to this situation are democratic, transactional, and transformative. Transformational leadership is characterized by a leader’s ability to inspire change, build trust, encourage creativity, and empower team members. This leadership style enhances team performance, motivation, psychological empowerment, and reduces work-related fatigue, leading to increased productivity. Transformational leaders assess individual team members’ strengths and allocate tasks accordingly to mitigate social loafing (Robbins & Davidhizar, 2020). Transactional leadership focuses on daily tasks, emphasizing short-term goals, rewards, recognition, and intervention as needed. This style establishes clear objectives, defines responsibilities, and suits the complex healthcare delivery setting. Combining transactional leadership with other styles, such as transformational leadership, can yield better results, including improved care delivery, clinical skills, delegation, and task deployment (Richards, 2020). NURS FPX 5007 Assessment 1 Leadership Styles Application Democratic leadership involves inclusive decision-making and respect for employee input. It fosters teamwork and empowers employees in policy development and implementation. Encouraging employee contributions enhances self-esteem and optimism, positively impacting employee productivity (Oliveria et al., 2020). Leadership Style Applicable in the Case Study Considering Marty’s situation and her tendency to underperform at work, a transformational leadership style is most suitable for her supervisor and colleagues. The manager must adopt this effective leadership style to address the issues causing a negative work environment rather than ignoring them. Despite Marty’s FMLA status, which entitles her to a maximum of 12 weeks of annual leave, she has exceeded this entitlement due to her medical condition and caregiving responsibilities, causing distress among colleagues. Implementing transformational leadership can draw attention to the problems and make Marty recognize her consistent rule violations, excessive time off, napping during work hours, and frequent tardiness or early departures. The manager must motivate the team, address legitimate concerns, and take appropriate action to foster cooperation and trust. Building trust is crucial, as Marty’s colleagues’ complaints have gone unaddressed for an extended period, allowing her to flout the rules for over a year. Marty needs guidance on her job responsibilities, and open communication about her needs may encourage her to comply with the rules. Implementing this leadership approach can create a positive work environment where employees’ concerns and suggestions are considered, preventing feelings of neglect and potential office issues. However, it may be challenging to inspire employee loyalty initially due to the prolonged inaction on Marty’s behavior. Introducing a reward system with clear goals can change the office culture, enhance performance, and encourage Marty to adhere to her schedule and reduce absences. This incentive program can benefit all employees by promoting exceptional performance and providing additional leave days over a predetermined period (Richards, 2020). Positive and Negative Implications Implementing this leadership approach has several advantages, including recognizing and rewarding employees for their extra efforts, fostering a healthy work culture, and enhancing knowledge and experience for all staff members. However, it is essential to monitor potential occupational stress caused by transactional leadership, which may require employees to consistently exceed expectations for gratification. Marty may not respond positively to this style, resulting in continued dissatisfaction among her colleagues (Nawaz & Khan, 2020). A democratic leadership style is suitable for this situation as it allows employees to contribute to decisions, addressing their concerns about Marty’s work attitude and punctuality. Marty may re-engage with her job by participating in decision-making processes, regaining a sense of purpose. Democratic leadership enhances employee engagement and job satisfaction, fulfilling the needs of all employees (Oliveria et al., 2020). Implementing this leadership approach can strengthen Marty’s relationships with her colleagues and supervisor, improve employee engagement, and promote effective collaboration without causing issues.